45D2287658 CLIA NUMBER - PRACTICAL HEALTH MANAGEMENT LLC

Laboratory Demographics

  • CLIA Code: 45D2287658
  • Facility Name: PRACTICAL HEALTH MANAGEMENT LLC
  • Facility Address: 11329 WEST AVE
    SAN ANTONIO, TX
    ZIP 78213
  • Facility Phone: 832 538-9188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE FLORES
  • NPI Number: 1710606249
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2287658
LAB Type Physician Office
Facility Name PRACTICAL HEALTH MANAGEMENT LLC
Street 11329 WEST AVE
City SAN ANTONIO
State TX
ZIP 78213
Phone 832 538-9188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director JOSE FLORES

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This page was last updated on: 9/29/2025